1. Anesthesia Manager Training Basic Navigation

2. Presentation TitleDate Objectives By the end of this module the participant will be able to: Use the basic terminology for all parts of the Anesthesia Manager application Use the toolbar and menu options to navigate to all Anesthesia Manager windows and functions

3. Presentation TitleDate What is Anesthesia Manager? Anesthesia Manager is a charting application and data collection engine for: 1. automatically and manually collected data 2. manually entered fluids and medications 3. It is an application that manages, 4. integrates 5. and stores Vital patient information at the point of care!

4. Presentation TitleDate Where does all the data come from? Medical devices (through drivers that Picis develops) HIS systems (Hospital Information Systems) Laboratory systems (Future Development) End users Others? Calculations done by Anesthesia Manager

5. Presentation TitleDate Clinical Data in Anesthesia Manager Real Time Variables Ventilator and Monitor data Manually entered clinical data Medications Fluids (intake and output) QA Laboratory data (Future Development) Clinical events Demographic data

6. Presentation TitleDate Launch and Login to Application 8.5 LDAP Interface User ID is your Windows Login ID  Hint: enter in the first two to three letters of your user name followed by the down arrow. Your name should populate automatically. Password is your Windows Password

7. Presentation TitleDate Census List After logging on, the Census list will appear Census list is specific to Campus and location (Main OR, L&D, ECC, EI, Litho, Dental Clinic) Satellite areas will not have a specific Census List Census list is organized by: Operating Room number Alphabetically within the specific OR (NOT BY START TIME) If patient not seen in Census list, hit the Refresh button If patient not seen in Census list, SCROLL to bottom of list as “add on” patients are often slotted into “dummy” rooms which appear a the end of the OR list

8. Presentation TitleDate Start a Chart for the Selected Patient 1. Highlight the Patient 2. Click Start Session to open a new chart for that Patient

9. Presentation TitleDate Anesthesia Standard Template Electronic version of your paper record 2. Select Admit Button 1. The Application will default to the: “Anesthesia-Standard” Template “Anesthesia-Eyes” in the ECC/EI Manual selection of the “Riverside Anesthesia Rapid” designed for rapid Gyne, Cysto, Litho Relevant patient information should populate automatically

10. Presentation TitleDate Home Screen: A Good Place to Start! Anesthesia Manager automatically opens to the Home Screen

11. Presentation TitleDate Ottawa Hospital Workstation Workstations will have a 19” monitor in portrait mode This will allow the display of considerable data/entry fields Toolbar icons and macros will appear in a vertical orientation on the left hand side of the screen

12. Presentation TitleDate Home Screen=Anesthesia Summary Flowsheet Consists of: Physiologic Variables Medications Med Infusions/Fluids Standard Anesthesia Monitoring

13. Presentation TitleDate Home Screen=Anesthesia Summary Flowsheet Consists of: Gases-Agents-Monitor Data Medications Organized alphabetically within a Subheading (eg. Analgesic, Antagonist, Anti- Infective) Med Infusions/Fluids Standard Anesthesia Monitoring Subheading can be turned “OFF” to list drugs alphabetically. Currently NOT WORKING in 8.5 (May, 2015)

14. Presentation TitleDate Home Screen=Anesthesia Summary Flowsheet Consists of: Gases-Agents-Monitor Data Medications Med Infusions/Fluids Organized by fluids/infusions “In” and fluids “Out” Standard Anesthesia Monitoring

15. Presentation TitleDate Home Screen=Anesthesia Summary Flowsheet Consists of: Gases-Agents-Monitor Data Medications Med Infusions/Fluids Standard Anesthesia Monitoring

16. Presentation TitleDate Home Screen=Anesthesia Summary Flowsheet Seclecting the “Home Screen” icon will also take you to the Home Screen (Anesthesia Summary Flowsheet).0

17. Presentation TitleDate The Tool Bar The Tool Bar is designed to help users easily access functions most commonly used There are two types of toolbars: Main and Macro MAIN TOOLBAR MACRO TOOLBAR will talk about the Macro Toolbar in “Events” Tutorial Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

18. Presentation TitleDate Main Toolbar ”Log Off/On” Log Off-used to stop documenting under your user name Eg. End of case, relief, transfer of care Real time data continues to be captured on patient Log On-used to start documenting under your user name As above Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

19. Presentation TitleDate Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures Main Toolbar “Home” Home Takes you back to the “Anesthesia Summary Flowsheet

20. Presentation TitleDate Main Toolbar “Protocols” Protocols Groups of standard orders (medications (single or combinations) /infusions) that you can add to the patient chart at the SAME time. Will offer significant time savings Fluid Balance S.A.M. Print Remote View Demographics Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

21. Presentation TitleDate Main Toolbar “Protocols” Custom built to allow rapid access and addition to the respective area of a flowsheet

22. Presentation TitleDate Main Toolbar “Protocols” Default Medication Flowsheet Contains main drugs used in majority of cases How can you add a drug that is NOT part of the Default? Protocols is a powerful and timesaving technique Other options available  To be discussed.

23. Presentation TitleDate Main Toolbar “Protocols-Eg. *Anes Drug Cart” “*Anes-Drug Cart” brings up every drug/fluid in the anesthesia cart that you may wish to add to the default protocol. One or multiple drugs/fluids can be selected simultaneously and quickly added to the flowsheet (no need to hit special characters to include multiple entries-simply click on the drugs/fluids that you want and hit ADD) DO NOT DOUBLE CLICK TO SELECT MORE THAN ONE DRUG

24. Presentation TitleDate Main Toolbar “Protocols” Eg. Performing a Spinal Anesthetic and want to add: Atropine Bupivicaine 2. Click on Atropine and Bupivicaine to select If you make an error, reclick to deselect 3. Hit Add button 1. Highlight a protocol option

25. Presentation TitleDate Main Toolbar “Protocols” Atropine and Bupivacaine now added to the Flowsheet

26. Presentation TitleDate Main Toolbar “Protocols” We have created Protocols for various subspecialties Eg. Vascular Click on the orders you want added to the flowsheet, hit ADD

27. Presentation TitleDate Main Toolbar “Event Log” Event Log-Adding Events This is the way you will enter in all notes related to the procedure Events reduce the need to “free text” Can also access by using the “Insert/View” pull down menu or by using the F4 key Will discuss further in upcoming lecture Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

28. Presentation TitleDate Main Toolbar “Fluid Balance” Fluid Balance Total intake and output for fluids documented on flowsheets are displayed graphically in the Fluid Balance window. The window also shows total volumes for all fluids. Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

29. Presentation TitleDate Main Toolbar “Fluid Balance” The Fluid Balance Window for anesthesia environments shows intake and output on a single pie chart. An accompanying table shows values for each fluid type. Hit this icon to see the “Fluid Balance Detail”

30. Presentation TitleDate Main Toolbar “Medication Summary” Medication Summary Shows all medications that have been documented, including those administered as drips. This window shows individual and total doses for the selected viewing period. Medications can be sorted alphabetically, by family name, or chronologically by administration time. Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

31. Presentation TitleDate Main Toolbar “Medication Summary” Total Dose administered over the current encounter Data sorted by “Administration Time”

32. Presentation TitleDate Main Toolbar “ Supervisory Anesthesia Module” S.A.M. (Supervisory Anesthesia Module) An anesthesiologist who supervises anesthesia residents/fellows may need to document certain events during the procedure. SAM allows you to log on and enter events and demographic data while another user is logged on. All of your entries will be attributed to you. When you have finished, the other user can continue working without having to log on again.  Will discuss further in upcoming lecture Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

33. Presentation TitleDate Main Toolbar “Print” Print Allows you to send a record to vOACIS (default), print to paper or BOTH Will discuss further in upcoming lecture Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

34. Presentation TitleDate Main Toolbar “Remote View” Remote View Allows you to enter and modify any type of data for which you have access rights on a remote workstation (i.e patient in another location)  Finish/revise/view documentation on a previous patient  You are able to switch between an active patient and remote viewing on the local workstation  Will discuss further in upcoming lecture Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

35. Presentation TitleDate Main Toolbar “Remote View” White Banner = Remote View Blue Banner= Active Patient

36. Presentation TitleDate Main Toolbar “Preop Manager” Preop Manager Will launch Preop Manager software for formal documentation of anesthesia history NB: with few exceptions, a NEW Preop Assessment should be created in Preop Manager for every visit to the Operating Room. Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

37. Presentation TitleDate Main Toolbar “OR Manager” OR Manager Access to the Smart track System  Used to get Snapshot of the status of patients in ALL OR’s at a particular campus.  Will discuss further in upcoming lecture Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

38. Presentation TitleDate Main Toolbar “ACUPAM” ACUPAM Launches electronic APS record Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

39. Presentation TitleDate Main Toolbar “Demographics” Demographics Also found at bottom of Navigation Panel Fluid Balance S.A.M. Print Remote View Demographics Event Log Log off Home Protocol Med Summary OR Manager ACUPAM Preop Manager Quality Measures

40. Presentation TitleDate Main Toolbar-Demographics “Patient Identification” Should be coming across from OR Manager/ADT Hospital system No need to enter any information into these fields

41. Presentation TitleDate Main Toolbar-Demographics Adm Ht/Wt/BSA/Blood Type Click on “Adm/Ht/Wt/” Fill in Weight and Height Weight and Height may auto populate if: RN has entered this information for you in the Preop Session Preop Assessment done on SAME day as Scheduled Procedure

42. Presentation TitleDate Main Toolbar-Demographics “Allergies and Precautions” Click on “Allergies & Precautions” Complete using pull down menus Allergies and Precautions auto populate if: This information already exists from a current or previous encounter i.e. This information will FOLLOW a patient indefinitely Preop Assessment done on SAME day as Scheduled Procedure

43. Presentation TitleDate Main Toolbar-Demographics “Allergies and Precautions-Medication Allergies” 1. Pull down menu 2. Enter name of drug into “Keyword Search” 3. Highlight desired result 5. Hit OK Allergies and Precautions auto populate if: This information already exists from a current or previous encounter i.e. This information will FOLLOW a patient indefinitely Preop Assessment done on SAME day as Scheduled Procedure 4. Populate using “pull down” menus

44. Presentation TitleDate Main Toolbar-Demographics “Allergies and Precautions-Other Allergies (not drugs)” 1. Pull down menu 2. Highlight desired result 4. Hit OK 3. Populate using “pull down” menus

45. Presentation TitleDate Main Toolbar-Demographics “Allergies and Precautions-Precautions” 1. Pull down menu 2. Highlight desired result 3. Hit OK

46. Presentation TitleDate Main Toolbar-Demographics “ASA” Click on ASA Level

47. Presentation TitleDate Main Toolbar-Demographics “ASA” ASA will migrate across to OR Manager (nursing documentation) Nurses will inform you if you have forgotten to complete this task as they cannot close their chart if ASA has not been documented Pull down ASA menu, select ASA and hit “Close” button

48. Presentation TitleDate Main Toolbar-Demographics “Procedure(s)” Select Procedure

49. Presentation TitleDate Main Toolbar-Demographics “Procedure(s)” Add button Booked surgical PROCEDURE should be populated by OR Manager PROCEDURE will NEVER appear in areas outside of the Main OR. populate the procedure as described above and in next slide

50. Presentation TitleDate Main Toolbar-Demographics “Procedure(s)” 1. Enter keyword 2. Find now 4. Hit Add 3. Choose appropriate procedure

51. Presentation TitleDate Main Toolbar-Demographics “Medical Team” Select Medical Team

52. Presentation TitleDate Main Toolbar-Demographics “Medical Team” Complete as appropriate See next slides

53. Presentation TitleDate Main Toolbar-Demographics “Medical Team” Main OR 1’st ELECTIVE Case of Day Scheduled Surgeon will populate from OR Manager. Do NOT make any changes/ corrections to this field Scheduled Anesthesiologist should populate from OR Manager. If information is correct, no further entries required If information NOT correct or BLANK, populate the Clinical Role /Anesthesiologist using the pull down menu 1. Pull down menu 2. Highlight name for relevant clinical role 3. Hit OK

54. Presentation TitleDate Main Toolbar-Demographics “Medical Team” Main OR-ALL Other Cases Main OR-Emergency List Scheduled Surgeon will populate from OR Manager. Do NOT make any changes/ corrections to this field. Scheduled Anesthesiologist will NOT populate from OR Manager. Populate the Clinical Role /Anesthesiologist using the pull down menu 1. Pull down menu 2. Highlight name for relevant clinical role 3. Hit OK

55. Presentation TitleDate Main Toolbar-Demographics “Medical Team” OUTSIDE MAIN OR ALL CASES Scheduled Surgeon will NOT populate from OR Manager. Populate the Clinical Role/Primary Surgeon using the pull down menu Scheduled Anesthesiologist will NOT populate from OR Manager. Populate the Clinical Role /Anesthesiologist using the pull down menu 1. Pull down menu 2. Highlight name for relevant clinical role 3. Hit OK

56. Presentation TitleDate Demographics “Required Events” Required Events These are events that should be entered (*if relevant) on EVERY Anesthetic record Anesthesia Case Start (S) Anesthesia Case Finish Time (F) ANES: Anesthesia Type ANES: Positioning ANES: Equipment Check ANES: Peripheral IV ANES: Airway/Intubation* Will be discussed later

57. Presentation TitleDate Flowsheets Flowsheets provide DIFFERENT ways of looking at all the physiologic variables captured by the software The default flowsheet is the “Anesthesia Summary”

58. Presentation TitleDate Flowsheet “Gases/Monitor Data” Any variable captured by anesthesia machine/monitor is captured by the software Exception-Fresh Gas Flows (Aestiva has manual controls) These numbers will be entered manually New GE Anesthesia Machines (July 2015) will have electronic flow control that WILL capture Fresh Gas Flows

59. Presentation TitleDate Flowsheet “Medications” Stand alone flowsheet documenting all medications (NOT including infusions)

60. Presentation TitleDate Flowsheet “Fluids IN/OUT” Stand alone flowsheet documenting all: Fluids In (including infusions) and Fluids Out

61. Presentation TitleDate Lab Results (All) Flowsheet Future development to capture lab results in real time from hospital information systems and populate the electronic anesthesia record.

62. Presentation TitleDate Flowsheet “Anesthesia Summary w/Art Line” Identical to the “Anesthesia Summary” flowsheet but replaces NIBP values with invasive arterial pressure values

63. Presentation TitleDate Flowsheet “Trends” Non invasive trending EtC02 Sp02 HR NIBP Resp Rate (from ETC02) ST trending Temperature/BIS Invasive trending in the lower graph HR Arterial Blood pressure PA pressure CVP

64. Presentation TitleDate Flowsheet “Invasive Monitoring” Invasive physiologic data displaying numerically and graphically Arterial line HR CVP PA Catheter

65. Presentation TitleDate Flowsheet “Vent Settings” Ventilator settings and physiologic data displaying numerically and graphically Resp Mode Fi02 Vent Resp Rate (total) Respiratory Minute Volume Expiratory Tidal Volume Tidal Volume setting Set I:E ratio Pmax PEEP, measured

66. Presentation TitleDate Flowsheet “Lab Results (Manual Entry)” Any result NOT automatically populated by the lab Includes POC results

67. Presentation TitleDate Flowsheet “Nursing Assessments” Allows you to observe your patient in PACU/SDCU Only ACTIVE in Remote View

68. Presentation TitleDate The Tool Bar-Macro Toolbar The Macro Tool Bar is designed to help users easily complete MOST of the necessary tasks to COMPLETE the ANESTHESIA RECORD. Clicking on a MACRO will: add a series of one or more key events to the Event Log add a marker/symbol to the timeline to serve as a place holder launch a generic information entry screen to remind end user to complete a particular task. This ppt will highlight the function of each macro A more detailed discussion on “Events” is to follow

69. Presentation TitleDate MACRO TOOLBAR “ Anesthesia Start” 1. Hit the “Anesthesia Start” icon 2. Adjust the time as required

70. Presentation TitleDate MACRO TOOLBAR “ Anesthesia Start” Places an “S” under the timeline Running cursor over the letter “S” will bring up the event descriptor Adds event descriptor to the “Event Log”

71. Presentation TitleDate MACRO TOOLBAR “ Machine Check” 1. Hit the “Equipment Check” icon 2. Adjust the time as required

72. Presentation TitleDate MACRO TOOLBAR “ Equipment Check” Places an “C” under the timeline Running cursor over the letter “C” will bring up the event descriptor Adds event descriptor to the “Event Log”

73. Presentation TitleDate Macro Toolbar “Patient Assessment” 1. Hit the “Pt. Assess” icon 2. Adjust the time as required

74. Presentation TitleDate Macro Toolbar “Patient Assessment” 3. “Add Events” launches. Select the “A010_PREOP EVALUATION” Event set 4. Hit OK

75. Presentation TitleDate Macro Toolbar “Patient Assessment ” Places an “P” under the timeline Running cursor over the letter “P” will bring up the event descriptor Adds event descriptor to the “Event Log”

76. Presentation TitleDate MACRO TOOLBAR “ Regional Start” 1. Hit the “RA” icon 2. Adjust the time as required

77. Presentation TitleDate MACRO TOOLBAR “ Regional Start” Places an “R” under the timeline Running cursor over the letter “R” will bring up the event descriptor Adds event descriptor to the “Event Log”

78. Presentation TitleDate MACRO TOOLBAR “ GA Start” 1. Hit the “GA” icon 2. Adjust the time as required

79. Presentation TitleDate MACRO TOOLBAR “ GA Start” Places an “G” under the timeline Running cursor over the letter “G” will bring up the event descriptor Adds event descriptor to the “Event Log” NB: “Start General (G)” is NOT the same as choosing the “Anesthesia Type: General Anesthesia” “Start General” simply means that this is the time you are beginning to administer drugs to facilitate General Anesthesia

80. Presentation TitleDate MACRO TOOLBAR “ MAC Start” 1. Hit the “MAC” icon 2. Adjust the time as required

81. Presentation TitleDate MACRO TOOLBAR “ MAC Start” Places an “M” under the timeline Running cursor over the letter “M” will bring up the event descriptor Adds event descriptor to the “Event Log”

82. Presentation TitleDate Macro ToolBar “End Surgery” 1. Hit the “End Surgery” icon 2. Adjust the time as required

83. Presentation TitleDate Macro Toolbar “End Surgery” Places an “E” under the timeline Running cursor over the letter “E” will bring up the event descriptor Adds event descriptor to the “Event Log” All Required Events to insure adequate CHART completion are listed. If font colour is black, the required event has been satisfied If font colour is RED, the required event has NOT been satisfied. In this example, all INTRAOPERATIVE events have been satisfied. Anesthesia case finish time (F) and ANES: QA Indicator are completed in PACU/ SDCU/ICU 3. Demographic box launches

84. Presentation TitleDate Macro Toolbar “Bag Level” This icon launches the “Fluid Balance” for the Encounter. Remember to do “Bag Levels” on all fluids at the end of the case. Otherwise, fluid balance will NOT be accurate Clicking ton the icon will launch details of fluid administration Clicking on the icon will launch details of fluid administration

85. Presentation TitleDate MACRO TOOLBAR “ End GA” 1. Hit the “End GA” icon 2. Adjust the time as required

86. Presentation TitleDate MACRO TOOLBAR “ End GA” Places an “g” under the timeline Running cursor over the letter “g” will bring up the event descriptor Adds event descriptor to the “Event Log”

87. Presentation TitleDate MACRO TOOLBAR “ ZZZz” 1. Hit the “ZZZz” icon 2. Adjust the time as required Adds Event Descriptors to the Event Log Nothing is added to the Timeline

88. Presentation TitleDate Macro Toolbar “End GA” vs “ZZZz” Pay attention to which icon is hit when ending a GA-ONLY 1 icon is intended to be selected. Remember NOT to use either icon if procedure done under MAC/regional only. “End GA” will list in the Event Set that the patient is waking up and an airway device has been removed “ZZZz” will list in the Event Set that the patient is breathing spontaneously but the airway device has NOT been removed

89. Presentation TitleDate MACRO TOOLBAR “ Transfer to PACU/SDCU/ICU” 1. Hit the “PACU/SDCU/ICU” icon 2. Adjust the time as required

90. Presentation TitleDate MACRO TOOLBAR “ Transfer to PACU/SDCU/ICU” All Required Events to insure adequate CHART completion are listed. If font colour is black, the required event has been satisfied If font colour is RED, the required event has NOT been satisfied. In this example, all INTRAOPERATIVE events have been satisfied. Anesthesia case finish time (F) and ANES: QA Indicator are completed in PACU/ SDCU/ICU 3. Hit “Close”

91. Presentation TitleDate MACRO TOOLBAR “ Transfer to PACU/SDCU/ICU” Hitting “Close” in the Demographics box will launch the “Quality Measures” screen. You will NOT be able to TRANSFER unless “Required Fields” are completed. RED text = NOT COMPLETED You will have to hit “Cancel” and satisfy the “Required Fields” 4. You will have to hit “Cancel” and satisfy the “Required Fields”

92. Presentation TitleDate MACRO TOOLBAR “ Transfer to PACU/SDCU/ICU” If “Required Fields” are completed (BLACK text), the TRANSFER button will activate. 4. Hit “Transfer”

93. Presentation TitleDate Macro Toolbar ”PACU-SDCU-ICU Report” 1. Hit the “Report” icon 2. Insure you complete “=>Periop Adverse Near Miss Event”, NO or YES 3. Insure you complete handover events

94. Presentation TitleDate Macro Toolbar- ”Finish” 1. Hit the “Finish” icon 2. Adjust the time as required

95. Presentation TitleDate Macro Toolbar- ”Finish” Places an “E” under the timeline Running cursor over the letter “E” will bring up the event descriptor Adds event descriptor to the “Event Log” Launches the Printout Loader

96. Presentation TitleDate MACRO TOOLBAR “Discharge” 1. Hit the “Discharge” icon 2. Adjust the time as required Used when transferring a patient to an area where SIMS is NOT used: Labor and Delivery ICU NOA Dental Clinic GI Suite (and not transferring to PACU/SDCU/ICU)

97. Presentation TitleDate MACRO TOOLBAR “Discharge” All Required Events to insure adequate CHART completion are listed. If font colour is black, the required event has been satisfied If font colour is RED, the required event has NOT been satisfied. In this example, all INTRAOPERATIVE events have been satisfied. Anesthesia case finish time (F) and ANES: QA Indicator are completed in PACU/ SDCU/ICU 3. Hit “Close”

98. Presentation TitleDate MACRO TOOLBAR “ Discharge” Hitting “Close” in the Demographics box will launch the “Quality Measures” screen. You will NOT be able to TRANSFER unless “Required Fields” are completed. RED text = NOT COMPLETED You will have to hit “Cancel” and satisfy the “Required Fields” 4. You will have to hit “Cancel” and satisfy the “Required Fields”

99. Presentation TitleDate MACRO TOOLBAR “ Discharge” 4. Select “Discharge” location 5. Hit “Discharge” 5. Fluids will be terminated so complete “Bag Level” and hit “OK”

100. Presentation TitleDate Patient Information Band The Patient Information Band is BLUE when a patient is ACTIVE on the LOCAL workstation The Patient Information Band is WHITE when a patient is NOT ACTIVE on A LOCAL workstation-this patient may be active on a remote computer (eg. Nursing computer in PACU) or “in the cloud” The Patient Information Band Displays: Patient Name Gender Age Height, Weight, BSA, BMI Procedure Medication Allergies (may populate automatically from Preop Manager) Other Allergies (may populate automatically from Preop Manager) Precautions (may populate automatically from Preop Manager)

101. Presentation TitleDate Viewing Options The upper left corner of flowsheets contains controls for changing the the way data is displayed: a.Resolution: Allows you to change the viewing resolution. b.Show only rows with data: Eliminates rows with no data. c.Show subheadings: Adds rows with subheadings showing family names. d.Restore: Reapplies flowsheets defaults and returns to current time view. e.Freeze/unfreeze: Turns autoscrolling on and off. f.Go to column: Allows you to go directly to the column closest to a specific date and time. g.Order filters: Allows you to activate and clear filters for discontinued and canceled orders. a b c defg

102. Presentation TitleDate Viewing Options Resolution Each flowsheet has a default viewing resolution (5 minutes) Changing resolution has NO effect on data collection from devices or how data is stored in the patient record. Blue triangles in flowsheet cells means you need a higher resolution to view all data samples. Further discussion on this topic will take place in an upcoming lecture Training Tip: Right-clicking time or date cell in time bar is shortcut for zooming to a higher/lower resolution.

103. Presentation TitleDate Pull Down Menus “Function Keys”

104. Presentation TitleDate Pull Down Menus “Function Keys”

105. Presentation TitleDate Pull Down Menus “Function Keys”

106. Presentation TitleDate Navigation in Anesthesia Manager: Exercise Open Anesthesia Manager on your workstation Start on the Home Screen Open the Census List For your Room Click on each Icon in the Tool Bar Click on each Macro in the Tool Bar Pull down the Menus and note the commands Open the various flowsheets from the Navigation Bar Find a Flowsheet with Trends Open the Demographics Window, enter some missing data

107. Presentation TitleDate Questions And Answers